Ally Medical Group, P.a. P.C.
Organization Active NPI Developmental - Behavioral Pediatrics Physician · MC Lean, VA
NPI 1710711973 · NPPES record last updated Aug 29, 2024
Key facts
- NPI
- 1710711973
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmental - Behavioral Pediatrics Physician 2080P0006X
- Legal business name
- ALLY MEDICAL GROUP, P.A. P.C.
- Practice address
- 1410 Spring Hill Rd Ste 305
MC Lean, VA 22102-3020 - Phone
- (240) 342-2666
- NPI assigned
- Aug 29, 2024
- Organization subpart
- No
Authorized official
- Name
- Lorraine Kabakama Beraho, MD
- Title
- Director
- Phone
- (301) 529-4927
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician |
2080P0006X | Yes |
Addresses
Primary practice location
1410 Spring Hill Rd Ste 305
MC Lean, VA 22102-3020
Mailing address
1410 Spring Hill Rd Ste 305
MC Lean, VA 22102-3020
Other providers in MC Lean, VA
- Christina Allen
- Judith Allen
- Allergy and Asthma Associates P.C.
- Allevius Clinic
- Megan Allman
- Farah Alnajar
- Alphacare Home Health LLC
- Ama Homecare LLC
- Amazing Home Care Services VA LLC
- Julie Ann Ambrose
All providers in MC Lean, VA · Developmental - Behavioral Pediatrics Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.